How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $316.23 Median $870.96 Typical High $2,818.38 | Facility | None | $316.23 | $870.96 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $275.42 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $93.33 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $141.25 | $2,754.23 | $2,754.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $147.91 Median $457.09 Typical High $4,570.88 | Facility | None | $147.91 | $457.09 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $154.88 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $154.88 | $309.03 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $134.90 Typical High $478.63 | Facility | None | $69.18 | $134.90 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $436.52 | Professional | None (both parts) | $114.82 | $158.49 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $107.15 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $251.19 | Professional | TC · Technical part | $39.81 | $52.48 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $549.54 | Professional | None | $154.88 | $223.87 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $467.74 | Professional | 26 · Professional part | $104.71 | $147.91 | $467.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $251.19 | Professional | TC · Technical part | $50.12 | $72.44 | $251.19 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $158.49 | $169.82 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $8,511.38 | Facility | None | $7,413.10 | $7,413.10 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,698.24 Typical High $3,235.94 | Professional | None (both parts) | $141.25 | $1,698.24 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $102.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $1,621.81 Typical High $3,019.95 | Professional | TC · Technical part | $48.98 | $1,621.81 | $3,019.95 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,230.27 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $489.78 | $562.34 | $562.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,949.84 Median $2,238.72 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,949.84 | $2,238.72 | $2,238.72 |
Where Illinois sits
The same service costs 26.3 times more in Colorado than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 29th of 51
$331
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.